Harmony Grove

More information about Harmony Grove

First Name *

Last Name *

Street Address *

Address Line 2

City *

State/Province/Region *

Zip/Postal Code *

Phone Number *

Country *

Email Address *

Confirm Email Address *

Emergency Contact Person *

Relationship To Participant? *

Emergency Contact Phone Number *

Do you have any severe food allergies? *

Yes

No

What are your severe food allergies? *

Please choose your accommodations. Note that if you are staying offsite, the cost of this event is the same. If you plan to stay in a hotel, click here to learn about a special negotiated rate in the nearby town of Kokomo. *

*

I would like an electric hookup

I don't need electric hookup

Bottom bunk space is limited. We will give preference to those with mobility limitations. *

I am willing to stay in a top bunk

I am not able to sleep on a top bunk

What is your cabin preference? *

Women's cabin

All Gender cabin

All meals at the camp will be vegetarian. Please indicate if you have any of the diet needs below. If you have needs beyond these you may need to bring supplemental foods.

Gluten Free

Dairy Free (will also be gluten free)

Vegan (will be gluten and dairy free)

Our check-in time is from 2:00-5:00 on May 15. Do you anticipate checking in during those hours? *

Yes

No

What do you anticipate your arrival time to be? *

Is there anything else we should know?

Register me for Harmony Grove *

$185

You have the option to pay by check or PayPal. If you choose to pay via PayPal you will temporarily leave this form, then be redirected back here. You will have the option to log into your PayPal account or just pay with a debit or credit card. You do not need to create a PayPal account.

Do you have a registration code?

Please enter your code.

Calculate amount to pay.

$0.00

Before you proceed with the payment part of your registration, PLEASE read the following carefully:

1. Once you have begun the pay process, do not hit the “back” button. This may cause paypal to charge you twice.
2. If you complete the payment process and receive an error message, DO NOT re-register. We have had a couple cases where a person registering wasn’t sure if the registration was successful but it was. If in doubt, email Bridgetmbaker@outlook.com and she will confirm your registration status.
3. If you have any trouble submitting your registration, it may be your browser. Try Chrome or Explorer.